Wednesday, April 25, 2012

Five-Year Longitudinal Assessment of the Prognosis of Apical Microsurgery

I think this is a good study to reference for helping to determine whether to recommend an apicoectomy or extraction. MJ

Journal of EndodonticsVolume 38, Issue 5 , Pages 570-579, May 2012

Abstract

Introduction

Apical surgery is an important
treatment option for teeth with post-treatment apical periodontitis.
Knowledge of the long-term prognosis is necessary when weighing apical
surgery against alternative treatments. This study assessed the 5-year
outcome of apical surgery and its predictors in a cohort for which the
1-year outcome was previously reported.

Conclusions

This
study suggested that the 5-year prognosis after apical microsurgery was
8% poorer than assessed at 1 year. It also suggested that the prognosis
was significantly impacted by the interproximal bone levels at the
treated tooth and by the type of root-end filling material used.

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About Me

Martin Jablow DMD, is America's Dental Technology Coach. He practices general dentistry in a group setting in Woodbridge, NJ. Dr. Jablow promotes the use of technology in the dental office to improve efficiency and patient care. He lectures and writes articles on the use of technology to enhance the practice of dentistry. Dr. Jablow can be reached by email at marty at dentaltechnologycoach dot com